Mediastinal Tuberculous Lymphadenitis with Periodic Fever
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A 60-year-old man undergoing maintenance hemodialysis presented with periodic fever, which resembled Pel-Ebstein fever of Hodgkin’s lymphoma. Despite scores of diagnostic evaluations, origin of the fever remained obscure. On positron emission tomography/computed tomography scan, focal hot uptakes were seen in the mediastinum and mediastinoscopic biopsy showed many acid-fast bacilli with chronic granulomatous inflammation and necrosis. After a week of anti-tuberculosis medication, the patient remained afebrile without recourse to antipyretics.
Abstract
A 60-year-old man undergoing maintenance hemodialysis presented with periodic fever, which resembled Pel-Ebstein fever of Hodgkin’s lymphoma. Despite scores of diagnostic evaluations, origin of the fever remained obscure. On positron emission tomography/computed tomography scan, focal hot uptakes were seen in the mediastinum and mediastinoscopic biopsy showed many acid-fast bacilli with chronic granulomatous inflammation and necrosis. After a week of anti-tuberculosis medication, the patient remained afebrile without recourse to antipyretics.
참고문헌 (10)
- Venkateswaran RV, "A forgotten old disease: mediastinal tuberculous lymphadenitis in children", Eur J Cardiothorac Surg, 27, pp.401~404 (2005)
- Kim HJ, "The prevalence of pulmonary parenchymal tuberculosis in patients with tuberculous pleuritis", Chest, 129, pp.1253~1258 (2006)
- Altiparmak MR, "Fever of unknown origin in uremic patients: a controlled prospective s", Scand J Infect Dis, 33, pp.851~853 (2001)
- Geldmacher H, "Assessment of lymph node tuberculosis in northern Germany: a clinical review", Chest, 121, pp.1177~1182 (2002)
- Callen JP, "Neutrophilic derma", Dermatol Clin, 20, pp.409~419 (2002)
- Chng WJ, "Pel-Ebstein fever with cyclical pancytopenia", J R Soc Med, 94, pp.84~85 (2001)
- Talbot TR, "Cases from the Osler Medical Service at Johns Hopkins University. Hodgkin's disease with Pel-Ebstein fevers", Am J Med, 112, pp.312~313 (2002)
- Racchi O, "Unusual bone marrow relapse of Hodgkin's disease with typical Pel-Ebstein fever", Ann Hematol, 73, pp.39~40 (1996)
- Costa LJ, "Simultaneous occurrence of Hodgkin disease and tuberculosis: report of three cases", South Med, 97, pp.696~698 (2004)
- Mackowiak PA, "Fever of unknown origin in Mandell, Douglas, and Bennett’s principles and practice of infectious diseases." (2005), Churchill Livingstone